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Evid Based Nurs 3:120 doi:10.1136/ebn.3.4.120
  • Treatment

Immune enhancing enteral nutrition reduced mortality and acquired infections in intensive care unit patients with sepsis


 
 QUESTION: Among patients in the intensive care unit (ICU) with sepsis, is immune enhancing enteral feeding more effective than high protein enteral feeding for reducing mortality and subsequent episodes of bacteraemia?

Design

Randomised (unclear allocation concealment), unblinded controlled trial.

Setting

6 hospitals in Spain.

Patients

181 patients >14 years of age who were admitted to the ICU, had sepsis (positively cultured or clinically diagnosed infection), and had an Acute Physiology and Chronic Health Evaluation (APACHE) II score ≥10. Exclusion criteria were pregnancy, previous radiotherapy, previous treatment with immune enhancing enteral or parenteral nutrition, treatment with immunosuppressive drugs, AIDS, neoplasia, or metastases. Follow up was 97% (mean age 56 y, 73% men).

Intervention

Patients received enteral feeds by nasoenteric, nasogastric, gastrostomy, or jejunostomy tube. Feeds were started within 36 hours of the diagnosis of sepsis, and …

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